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Lumbosacral plexopathy due to a rupture of a common Iliac artery aneurysm
Author(s) -
Bushby Nathan,
Wickramasinghe Seneviratne Yapage Buddhimth Thavanga,
Wickramasinghe Daishini Nayomi Sagarika
Publication year - 2010
Publication title -
emergency medicine australasia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.602
H-Index - 52
eISSN - 1742-6723
pISSN - 1742-6731
DOI - 10.1111/j.1742-6723.2010.01310.x
Subject(s) - medicine , sciatica , pelvis , common iliac artery , surgery , aneurysm , lumbosacral joint , spondylolisthesis , radiology , sacrum , buttocks , weakness , back pain , stenosis , lumbar , alternative medicine , pathology
We report a case of lumbosacral plexopathy caused by the rupture of a common iliac artery aneurysm. The patient presented with sciatic type symptoms of lower back pain radiating to his left leg with associated numbness and weakness in the L4–S1 distribution. He also had reduced anorectal tone. A CT scan showed a large haematoma in the left side of the pelvis from a ruptured 8 cm common iliac artery aneurysm. Sciatica is commonly due to a prolapsed intervertebral disc, although spinal canal stenosis, spondylolisthesis, piriformis syndrome and spinal tumours and other causes need to be considered. This case serves to increase the awareness of the possibility of another uncommon cause, especially when additional atypical neurological symptoms exist.